Fuel-a-Thon Submission Form

The Fuel-a-Thon helps us close the gap between your fees ($3,475) and what we spend ($7,000) per member.

Directions: Provide 20 names and mailing addresses of individuals over the age of 21. We will solicit them on your behalf to make a donation to our Fuel-a-Thon. Of the donations received, 25% will be credited to your account. Think of all of the people who you know: aunts/uncles, grandparents, friends’ parents, your parents’ work colleagues, parents’ friends, neighbors, etc.

NOTE: Pacific Crest will NOT solicit these individuals again unless they are already in our database or make a purchase via our online store. You may “buy out” this obligation by making a $100 donation to Pacific Crest (see the green button below).

Fuel-a-Thon Buy-Out →

Take care when filling-in the information. All rows must be completed before the form may be submitted. It is best to have all of the information assembled prior to filling-in the form.

Pacific Crest Member Info
Last Name: First Name: Email:
  Name Company "Dear" Name
Ex1 Jane and Bob Smith   Grandma and Grandpa
Ex2 John Bell Pizza Bell Mr Bell
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